Cytomegalovirus Viremia as a Risk Factor for Mortality Prior to Antiretroviral Therapy among HIV-Infected Gold Miners in South Africa
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{"title"=>"Cytomegalovirus viremia as a risk factor for mortality prior to antiretroviral therapy among hiv-infected gold miners in South Africa", "type"=>"journal", "authors"=>[{"first_name"=>"Katherine", "last_name"=>"Fielding", "scopus_author_id"=>"35493200400"}, {"first_name"=>"Ai", "last_name"=>"Koba", "scopus_author_id"=>"35885630300"}, {"first_name"=>"Alison D.", "last_name"=>"Grant", "scopus_author_id"=>"7402445866"}, {"first_name"=>"Salome", "last_name"=>"Charalambous", "scopus_author_id"=>"7003388014"}, {"first_name"=>"John", "last_name"=>"Day", "scopus_author_id"=>"7403323687"}, {"first_name"=>"Cedric", "last_name"=>"Spak", "scopus_author_id"=>"23096363400"}, {"first_name"=>"Anna", "last_name"=>"Wald", "scopus_author_id"=>"7102576168"}, {"first_name"=>"Meei Li", "last_name"=>"Huang", "scopus_author_id"=>"35262327700"}, {"first_name"=>"Lawrence", "last_name"=>"Corey", "scopus_author_id"=>"36068227600"}, {"first_name"=>"Gavin J.", "last_name"=>"Churchyard", "scopus_author_id"=>"7004276892"}], "year"=>2011, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-80053939727", "sgr"=>"80053939727", "pui"=>"362735262", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "pmid"=>"22022413", "doi"=>"10.1371/journal.pone.0025571"}, "id"=>"6907649e-a012-30e3-9fb3-e9ba71f389ae", "abstract"=>"BACKGROUND: Cytomegalovirus (CMV) viremia has been shown to be an independent risk factor for increased mortality among HIV-infected individuals in the developing world. While CMV infection is nearly ubiquitous in resource-poor settings, few data are available on the role of subclinical CMV reactivation on HIV.\\n\\nMETHODS: Using a cohort of mineworkers with stored plasma samples, we investigated the association between CMV DNA concentration and mortality prior to antiretroviral therapy availability.\\n\\nRESULTS: Among 1341 individuals (median CD4 count 345 cells/µl, 70% WHO stage 1 or 2, median follow-up 0.9 years), 70 (5.2%) had CMV viremia at baseline; 71 deaths occurred. In univariable analysis CMV viremia at baseline was associated with a three-fold increase in mortality (hazard ratio [HR] 3.37; 95% confidence intervals [CI] 1.60, 7.10). After adjustment for CD4 count, WHO stage and HIV viral load (N = 429 with complete data), the association was attenuated (HR 2.27; 95%CI 0.88, 5.83). Mortality increased with higher CMV viremia (≥1,000 copies/ml vs. no viremia, adjusted HR 3.65, 95%CI: 1.29, 10.41). Results were similar using time-updated CMV viremia.\\n\\nCONCLUSIONS: High copy number, subclinical CMV viremia was an independent risk factor for mortality among male HIV-infected adults in South Africa with relatively early HIV disease. Studies to determine whether anti-CMV therapy to mitigate high copy number viremia would increase lifespan are warranted.", "link"=>"http://www.mendeley.com/research/cytomegalovirus-viremia-risk-factor-mortality-prior-antiretroviral-therapy-among-hivinfected-gold-mi", "reader_count"=>38, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Researcher"=>5, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>11, "Student > Postgraduate"=>3, "Student > Master"=>5, "Other"=>2, "Student > Bachelor"=>5, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Researcher"=>5, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>11, "Student > Postgraduate"=>3, "Student > Master"=>5, "Other"=>2, "Student > Bachelor"=>5, "Lecturer"=>2, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Biochemistry, Genetics and Molecular Biology"=>1, "Nursing and Health Professions"=>1, "Mathematics"=>1, "Agricultural and Biological Sciences"=>9, "Medicine and Dentistry"=>17, "Pharmacology, Toxicology and Pharmaceutical Science"=>2, "Business, Management and Accounting"=>1, "Social Sciences"=>1, "Computer Science"=>1, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>17}, "Social Sciences"=>{"Social Sciences"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>9}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>3}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>2}}, "reader_count_by_country"=>{"Sweden"=>1, "South Africa"=>1}, "group_count"=>1}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/725221"], "description"=>"a<p>adjusted for all variables shown; P value shown in parentheses;</p>b<p>P-value for trend = 0.002;</p>c<p>P-value for trend<0.001;</p>d<p>CD4 categories are <100, 100-199, 200-349 and ≥350 cells/µL.</p><p>pyrs = person years; HR = hazard ratio; CI = confidence interval; -ve = negative; N/A = not applicable; WHO stage = World Health Organization HIV clinical stage.</p>", "links"=>[], "tags"=>["baseline", "time-updated", "cmv", "viremia", "unadjusted", "adjusted", "ratios", "cox", "proportional", "hazards", "intervals"], "article_id"=>395547, "categories"=>["Virology", "Infectious Diseases"], "users"=>["Katherine Fielding", "Ai Koba", "Alison D. Grant", "Salome Charalambous", "John Day", "Cedric Spak", "Anna Wald", "Meei-Li Huang", "Lawrence Corey", "Gavin J. Churchyard"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0025571.t002", "stats"=>{"downloads"=>1, "page_views"=>18, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Effect_baseline_and_time_updated_CMV_viremia_on_mortality_unadjusted_and_adjusted_hazard_ratios_from_Cox_proportional_hazards_regression_95_confidence_intervals_and_P_values_n_8202_8202_1341_/395547", "title"=>"Effect baseline and time-updated CMV viremia on mortality, unadjusted and adjusted hazard ratios from Cox proportional hazards regression, 95% confidence intervals and P values (n = 1341).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 13:51:24"}
  • {"files"=>["https://ndownloader.figshare.com/files/725165"], "description"=>"a<p>n = 42 and n = 28 have CMV DNA levels of between 51–999 and ≥1000 copies/ml, respectively;</p>b<p>comparing CMV viremia versus no viremia at baseline using chi-square test or Fisher's exact test for categorical variables and the Wilcoxon rank sum test for quantitative variables;</p>c<p>n = 429 with HIV viral load data</p><p>IQR: interquartile range; col = column; WHO stage = World Health Organization HIV clinical stage.</p>", "links"=>[], "tags"=>["cohort", "stratified", "cmv", "viremia"], "article_id"=>395516, "categories"=>["Virology", "Infectious Diseases"], "users"=>["Katherine Fielding", "Ai Koba", "Alison D. Grant", "Salome Charalambous", "John Day", "Cedric Spak", "Anna Wald", "Meei-Li Huang", "Lawrence Corey", "Gavin J. Churchyard"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0025571.t001", "stats"=>{"downloads"=>4, "page_views"=>14, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Description_of_cohort_overall_and_stratified_by_CMV_viremia_at_baseline_/395516", "title"=>"Description of cohort overall, and stratified by CMV viremia at baseline.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-20 13:51:10"}
  • {"files"=>["https://ndownloader.figshare.com/files/725077"], "description"=>"<p>Footnote to <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0025571#pone-0025571-g001\" target=\"_blank\">figure 1</a>: The total number of participants at risk at 0, 12, 24 and 30 months of follow-up and the total number of deaths (in parentheses) during the intervals 0–12, 12–24 and 24–30 months, by CMV viremia (-ve, >50 copies/ml) and CD4 count (<200, ≥200 cells/µL), are shown.</p>", "links"=>[], "tags"=>["curves", "cmv", "viremia", "cd4"], "article_id"=>395423, "categories"=>["Virology", "Infectious Diseases"], "users"=>["Katherine Fielding", "Ai Koba", "Alison D. Grant", "Salome Charalambous", "John Day", "Cedric Spak", "Anna Wald", "Meei-Li Huang", "Lawrence Corey", "Gavin J. Churchyard"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0025571.g001", "stats"=>{"downloads"=>1, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Kaplan_Meier_curves_by_CMV_viremia_and_CD4_count_at_baseline_/395423", "title"=>"Kaplan-Meier curves by CMV viremia and CD4 count at baseline.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-20 13:50:37"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"3", "full-text"=>"4", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"3"}
  • {"unique-ip"=>"4", "full-text"=>"5", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"5"}
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  • {"unique-ip"=>"4", "full-text"=>"4", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"4"}
  • {"unique-ip"=>"4", "full-text"=>"4", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"4"}
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  • {"unique-ip"=>"6", "full-text"=>"6", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"7"}
  • {"unique-ip"=>"3", "full-text"=>"4", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"3"}
  • {"unique-ip"=>"3", "full-text"=>"2", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"2"}
  • {"unique-ip"=>"6", "full-text"=>"5", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"8"}
  • {"unique-ip"=>"7", "full-text"=>"7", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"9"}
  • {"unique-ip"=>"3", "full-text"=>"3", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2015", "month"=>"10"}
  • {"unique-ip"=>"3", "full-text"=>"1", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"7"}
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  • {"unique-ip"=>"2", "full-text"=>"1", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2014", "month"=>"9"}
  • {"unique-ip"=>"11", "full-text"=>"6", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2014", "month"=>"10"}
  • {"unique-ip"=>"5", "full-text"=>"5", "pdf"=>"2", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2016", "month"=>"2"}
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Relative Metric

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